Home Language Questionnaire Student Name First Middle Last Date of Birth MM slash DD slash YYYY AgeGrade Level Parents and Guardians, In order to help your child learn, your child’s teachers need to determine which language your child uses most. Please respond to the questions below by checking the appropriate box.Which language did your child learn first? English Other Which language is most often spoken in your home? English Other Which language does your child usually speak? English Other Parent/Guardian Signature Date MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged. Δ
